Duodenal Switch with BPD

This form of selective malabsorptive operation involves a modified gastric restriction by tubularizing the lesser curvature of the stomach via a greater curvature gastrectomy (Figure 36-3), and a diversion of biliopancreatic secretions to the distal ileum. The latter is accomplished by transecting the duodenum proximal to the ampulla of Vater (Figure 36-3, site A/B), oversewing the distal end of the duodenum (site B), transecting the proximal ileum 250 cm proximal to the ileocecal valve (site C/D), anastomosing the distal end of ileum (site D) to the proximal duodenum (site A), and reimplanting the proximal ileum (site C) into the distal ileum 100 cm proximal to the ileocecal junction (site E). This is a newer operation that is more in vogue on the West Coast of the United States. Although this operation lacks a broad experience across many centers, the operative morbidity and mortality appears to be similar to RYGB. Weight loss, however, appears to be somewhat better than RYGB; however, with the potential for fat malabsorption (via the 100 cm common channel of distal ileum where all digestion/absorption occurs), many bariatric surgeons reserve this procedure for the superobese (BMI > 55).

Virtual Gastric Band Hypnosis Audio Programm that teaches your mind to use only the right amount of food to keep you slim. The Virtual Gastric Band is applied using mind management techniques, giving you the experience of undergoing surgery to install a virtual gastric band or virtual lap-band, creating a small pouch at the top of the stomach which limits how much food can be eaten. Once installed, the Virtual Gastric Band creates the sensation of having a smaller stomach that is easily filled and satisfied with smaller amounts of food.